Erschienen in:
10.05.2019 | Technical Note
Usefulness of Amplatzer Vascular Plug for Preoperative Embolization Before Distal Pancreatectomy with En Bloc Celiac Axis Resection
verfasst von:
Tomoyo Fuji, Takuji Yamagami, Wataru Fukumoto, Yasutaka Baba, Keigo Chosa, Masaki Ishikawa, Makoto Iida, Akira Naito, Yoshiaki Murakami, Kenichiro Uemura, Naru Kondo, Kazuo Awai
Erschienen in:
CardioVascular and Interventional Radiology
|
Ausgabe 9/2019
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Abstract
Purpose
We evaluated the usefulness of the Amplatzer vascular plug (AVP) for preoperative embolization before distal pancreatectomy with en bloc celiac axis resection (DP-CAR).
Materials and Methods
Between April 2010 and September 2017, 19 patients with locally advanced pancreatic body cancer underwent preoperative embolization of the common hepatic and the left gastric artery (CHA, LGA) with AVP or coils. We compared the embolization success rate, embolization-related complications, the time required for preoperative embolization before DP-CAR and the procedure costs in patients whose CHA was AVP- (n = 7) or coil (n = 12) embolized.
Results
The success rate for preoperative AVP and coil embolization was 100% and 83.3%, respectively. The median procedure time was shorter in patients whose CHA was embolized with AVP than coils; the difference was not significant (p = 0.045). The total cost was significantly lower for AVP than coil embolization (p = 0.01).
Conclusion
The AVP is useful for the preoperative embolization of the CHA before DP-CAR.